The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 1981-09-24t:, /26 rt -3 L CITY OF SPRINGFIELD COI{BI I{ATI ON APPL I CATION/ PERMIT -37 Job Address I l-egal Description l.later Heater Ranqe. EIIERGY SOURCES Hea t Owner Val ue of l,lork . Fto . l'1a i n_ Sq. Ftg. Access._ Sq. Ftg. 0ther__ _new naA_nl t6F-_oep. _Fence_Demo Change/Use 0ther Addr6ss S$,U f PhA&- e1?2 e l,li th hed Ga u r F re., Build Single Construction Lender 3 Addre s s Phone Ilvr IS s\("I \ l DES I GN TEAI.,!name address Iics. no.exDt res (phone no EI ectri cal Pr name N0.CHARGF NO FFF CHARGF f.r0 FFF CHARGF Each single fixture Residence of FTSQ I ,i I furnace/burner to BTU' s Relocated buildino (new fix. addit,ioial ) New circuits altsor extensions TFloor furnace and vent S. F. Residence {L hath)SERV I CES Recessed wal I Soace heater and vent Duplex (l bath) each Additional bath Temporary Constructi on Apol iance vent sepa rate l.later servi ce Change in existing res i dence Stationary evap. coo I er Sewer multifamily, corrn. or I ndustri a I Vent fan with sinqle duct Storm Sewer 0f Vent systern apart from heatinq or A.C. COMI.I./IND. FEEDERS Mechanical exhaust tood and ductInsta l I /al terlrel ocatedistrib. feeders liood stove/heater s-9 0f amp s. ISSUANCF OF PFRI{IT /ag TOTAL CHARGES TOTAL CHARGES TOTAL CHARGES /,fQ 1 r Con and IlAl'lE(please print) TOTAL VALUATION- s ICiIATURE So Ftq . l,la i xr Val ueFtg. Access yD x Load Group Sq. Ftg. 0ther e/Const. Uni ts fy qon Bui f exempt .055 wi I NI aeted ccomp tforonatpl')do hereandDE 1cert ath t Ib.y n it heonand 'Ireon truestco rrec a Ind fu rthe r Icert t ha I Iatandfy wo kr rfoanype srmed Iha beI nedo ,l cca orda nce thtrt t he na0rdiof Snce ciofthertefid'ISpng nda eth tywsLatheofteStaofre'Ioerta 'In to workthe esd rlcng hereibed n nda atth f,lc Yof0ccuPAr,rc wl II besta madeructuwlretthounythes1Ipermsof0nthedIIDi1'I nng frurt r IIhece'Irt tha tfy 1 tras 'It onmyreg },I theth .IBu de1 rrdBoa sfunI5'I II aforce end tffec as red'|requ 0Rs 05570tby tha It ba 1s forSthe '|Ion sexempt noted hereon dannI +thatrsubconvtoacandrslerrrJarewhonoyee1aIencwlcomoth70RS10'|be onused sthi ec t.proj WHERE STATE LlI,' REQUIRES shal I not be val il unt.i 'l the that the Electrical work be done by an E'lectricalabel has been signed by an Electrical Superviso Flood Plain Stories Fire Zone Bedrooms al ue Zone Value tractor, the electrical portion of this Dernitreturned to the Building Division Plan Ck. Comm/Ind 65%/81dq Per Fee Svs Cha rVe 5X tems Derse (1.opment BUILDING PERI{IT Charges anC Surcha rges Plan Ck. Res 30%/B1dq Per Fee FencePLUI4BING PERMIT Charges and Surcha rges Demo Sidewal k ELECTRICAL PERI.IIT Charges and Surcha rges Total Comb. PermitA/C Pavi ng Curb Cut I,IECHANICAL PERMIT Charges and Surcharges _l,f_-d_d_ TOTAL Structura l f''lechani cal PI cal 11 r II I ii fr [. r PLUIlB I NG ELECTR I CAL MECHAN I CAL FFF SgGo -- PERMIT VALIDATION Permit Clerk COMBINATION APPLICATION/PERMIT (CAP) Applicant to furnish A. Job Address B. Legal Description 1. example- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot ]. Block 3, ?nd Addition to Springfield Sstates C. Name, etc. of owner and construction lender D. Energy Sources 1. example- he2. example- wa E. Square footage at,/el ectri or forced air gas ter e ec r ca sol ar or valuation, etc 1. example- 1250 sq. foot house, 500 sq. foot garage 2. example- if new project, check new - if addition, check add, etc.F. Building permit information: .1. example - construct single family house with an attached garage 2. example. - remodel existing garage into fami ly room 3, exarnplE - convert single family residence into restaurant (change of use) G. Value of work as defined in Section 303 (a) of the Structural Specialty Code H. DESIGN TEAI.I AND CONTRACTORS To avoid design or construction delays, Buiiding Division Staff must be able to contact appropriate persons regarding design information or iob site corrections, etc. II. Abbreviated Plumbing, Mechanical, & Electrical Schedules A. Except where blank spaces occur in the description portion of the Mechanical and Electrical Schedules, the applicant need fill-in only the No. Boxes adjacent to the appropriate item(s) to be installed B. Full Plumbing, Mechanical, and Electrical Schedules are available at the Building Division 1. To conserve space on the permit form the schedules have been abbreviated2. If the item(s) to be installed are not covered on the abbreviated schedules you should consult the full schedules C. BUILDING DIVISION STAFF I{ILL FILL OUT ALL FEES AND CHARGES ON THE SCHEDULES D. As noted on the CAP, the label must be delivered to the electrical contractor for signature by his electrical supervisor. The general conti"actor is not authorized to sign the electrical label. III. Applicant to sign and date Whenever possible, the initial appljcation will be used as a worksheet on1y. Where possible, Building Division Staff will prepare a type written copy and return it to the appiicant at the time the actual permit is issued for his s i gna tu re. IV. Fees and Charges Plan check fees are due and payable at the time of the application, and no plans w'il l be processed until these fees are paid. All other fees and charges are due and payable when the permit is issued. V. FOR OFFICE USE ONLY PROJECTCONDITIONSTOBESATISFIEDBEFOREOCCUPAI{CY: Permit applicant exempt from registration w'ith the Builder 's Board because: Additional Proiect Information: PLANS REVIEWED BY: date name s'l gnature r'r/ 72 LIITE corlBI i APPL I CAT I RMIT ELECTR I CAL 37 Structura I !'lechan i ca I PLUI1B I NG I,'IECHANICAL Job Address l-egal Description EIIERGY SOURCES Hea t Rancle l.rater Heater Val ue of l.lork Ftg. I'la in_ Sq. Ftg. Access Sq. Ftq. 0ther_ llew Add AII#--Tep. --]e nE6_oeto_c h ai'ge / u s e -other-Owner .e., Build Singie Fami I n rt dence lJi thAddress b4*t E pnd"&- Qa2< ,A-/rY-rO Z Construction Lender rs s\h \ Address Phone (ohone no.exn l resaddressDESiGN TEAI{name Pri ma E l ectri ca I FFF CHARI]FFFFCHARGFNOCHARGENN t I I furnace/burner to BTU' S Residence of FTSQEach single fixture a Floor furnace and vent New circuits alts. or extensions Relocated buiIding (new fix. additional) Recessed wall Snarp hcater and vpntSERV I CESS. F. Residence(l bath) Duplex (l uath) each Apol iance vent seDa rateTemporary ConstructionAddi tional bath Stationary evap. coo I er ge in existing dence Chan rpsi[,later servi ce Vent fan with sinole ductmultifamily, corm. or TndrstrialSewer Vent systern apart from heatinq or A.C.0f amps.Storm Sewer Mechanica l exhaust hood and ductCOI,!I.I. / IND. FEEDERS tnlood stove/heaterI nsta l 1 /a 1 terl rel ocate dicfrih. feeders 0f amps ISSUANCE OF PFRIIIT /og /,fpTOTAL CHARGESTOTAL CHARGESTOTAL CHARGES done by an E'lectrical Contractor, the electrical portion.of this permit Electrical Supervisor and returned to the Building Division S I GiIATUREI.lAilE(please print) WHERE STATE LltJ REQUIRES that the Electrical work be shall not be valiJ until the label has been signed by an s true'IIIn'I tforma on1at'I doandronaDerm hereb.yhetpr)comp t Cithe0rdna nces'I 0thethwl'II work sd Iha I tybe'Idone accordanceandtcorrecandIfuherrtertclhattandafyanyperforme I1 made'I an thad NCt wl beOCCUPAI,ICYtrta1thetodesworkbedcrihereo'|fi Ie andd Lathe ofws sthe teta of onSor0req oe gng I.I rtstraIt1nthethBu sdevl'I n herfurt 'Icert th atIDify my regioatsreructuthouwtthetrml'Iss no theof B 1 .I d'ipeny Lthaand0n'|s'I hereonnotedttha'I f t het bas S'I eforn9 70L exemp xempt055fu'II rcefo effectand as red'I ORSI5IrdBoarequby wl 1 'I550707 be onused Sthi ectIonIarewhoIanIwlce0r?sth projsu bcon to rstrac and c0movem!')oyees Fire Zone Bedrooms 0ccy Load Sq. Ftg Flood Plain Stories 0cc.v Group Sq. Ftg TOTAL VALUATI nil .0ther . Access Iue Zone Tyoe/Const Val ue oilnentSvstems Deve Charqe (1.51Plan Ck. Corun/Ind 65"/,/Bldo Per Fee BUILDING PERI!IT Charges anC Surcha rges Plan Ck. Res 30%/Bldq Per Fee FencePLUI4BING PERMIT Charges and Surcha rges Dgmo Sidewal k Total Comb. Permit ELECTRICT,L PERI.IIT Charges and Surcha rges A/C Paving Curb Cut €sGoTOTAL I1ECHANICAL PERHIT Charges and Surc harges _Lr_.d_d_ )e |.lork (I Garaoe s-9 Units Sq. Ftg. t'lain x Value- COMBINATION APPLICATION/PERHIT (CAP) I. Applicant to furnishA. Job AddressB. Legal Description l. glample- Tax Lot 100, Lane County Map Reference 17 03 432. example- Lot 1. Btock 3, 2nd Addition toSpringTield Estares (C. Name, etc. of owner and construction lenderD. Energy Sources PERMIT VALIDATION q-r9 CITY OF SPRINGFIETD Cily Hol! Springfield, Oregon Deporlmenl of public WorksOFFICIAT RECEIPT ,1. l. examol e-2. examo I e-:L. square toota heat/electrical wa eater e ge or valuati OD, 0r r (., forced soTaI- I ? exampie- 1250 sq example- if new check add, etc. foot house,500 sq. footproject, che ck new - if ad, (l aB 5734CF. Building permit information:l. qgqple - construct single family house wi;IEcI-ed garage ?. exampls - remodel existing garage into famJ. exampte - convert single family residence - Estil-rant (change of"use)G. Value of work as defined in Section 303 (a) ofStructural Specialty CodeH. OESIGN TEAI.I AI,ID CON1RACTORS od (p () (| (l (t ()To avoid design or construction delays, Buildi0ivision Staff must be able to contait'approprpersons_regarding design information or job si {corrections, etc.II. Abbreviated Plumbing, Mechanical, & Electrica.l SciA. Except where blink spaces ociur in tt" aesc"iiportion of the Mechan.ical and Electrical Schei {sthe applicant need fill-in only the No. Boxes i- - t0 the appropriate item(s) to be instal.ledB. Full Plumbing, Mechanical, and Electricai Schrare available at the Building Division i1. To conserve space on the-permit form the r \, have been abbreviated2. If the item(s) to be installed are not cotthe abbreviated schedules you should consltrfull schedulesC. BUILOING DIVISION STAFF I.IILL FILL OUT ALL FEE: CHARGES ON THE SCHEDULESD. As noted on the CAp, the label must be detive rreiectrical contractor for signature by h.is e1 -{supervisor. The generai coniractor is not auto sign the electrical labelIII. Applicant to sign and date I'lhenever possibie, the initial application will b qp a.worksheet oniy. Where possible, Building Diviswiil prepare a type written copy and return it toapplicant at the time the actual permit is issued (rs i gna ture.IV. Fees and CharEes Plan check fees are due and payable at the time oapplication, and no plans wiil be processed until zs. fees are paid. Al'l other fees and charges u". O, q; payable when the permit is issued. +_ V. FOR OFFICE USE ONLY Amounl AY _(ska!Tot.tuax!u!!Piltrai! EUOEiE Oa ,raot slttt-a Permi t C'lerk (t PROJECT CONDITIONS TO BE SATISFIED BEFORE OCCUPAI{CY: ermit applicant exempt from registration with the Builder's Board because: Additional Project Information: P PLANS REVIEWED BY: name s't aut"%/*tr/gn ature I (